MS. MELISSA BRADLO WHNP NPI 1578586491

NPI Information

  • NPI: 1578586491
  • Provider Name: MS. MELISSA BRADLO, WHNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3023 N BALLAS RD
    DIV OBGYN GYNECOLOGIC ONCOLOGY, STE 450D
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 362-3181

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NPI Details

MS. Melissa Bradlo, WHNP is a women's health nurse practitioner in Saint Louis, MO with 23 years of experience. MS. Melissa Bradlo, WHNP NPI is 1578586491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3023 N BALLAS RD
DIV OBGYN GYNECOLOGIC ONCOLOGY, STE 450D
SAINT LOUIS, MO
ZIP 63131-330
Phone: (314) 362-3181
Fax: (314) 362-2893

The NPI 1578586491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 4/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health133637MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1420149679MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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